Older emergency patients in the emergency department : A key performance indicator analysis based on the DIVI emergency department protocol

Medizinische Klinik, Intensivmedizin und Notfallmedizin
K RygielI Gräff

Abstract

Overall, there is only little data in health care research on the subject of emergency care in older patients in Germany. The aim of the present study is to assess the older emergency patient in regard to the core data set "Emergency Department" of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI). Monocentric, retrospective observational study. In the observation period, a total of 29,391 emergency patients were treated at the interdisciplinary emergency center. Of these, 8072 emergency patients were ≥65 years old (27.4%). With increasing age, paramedic ambulances (RTW) or physician-led ambulances (NEF) are increasingly used (p < 0.001). Older emergency patients arriving by a physician-led emergency service show a 38.9-fold increase in mortality compared to ambulatory patients (odds ratio = 38.98 [29.22-51.87]). The initial assessment, using the Manchester Triage System (MTS), shows a steady rise towards higher urgency levels with increasing age (p < 0.001). In the multivariate analysis within the individual age clusters, there is a correlation between the triage level and hospital mortality, unrelated to gender (p < 0.001). Likewise the use of consulting physicians can be linked to adva...Continue Reading

References

Jul 1, 1992·Annals of Emergency Medicine·R M McNamaraA B Sanders
Jan 12, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·D VanpeeJ B Gillet
Apr 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marek NemecRoland Bingisser
Jul 8, 2011·Der Internist·K SinglerH J Heppner
Oct 5, 2011·The Journal of Nutrition, Health & Aging·C LafontUNKNOWN Members of I.A.G.G./A.M.P.A Task Force
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adam J SingerJesse M Pines
Mar 6, 2012·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Martin MockelRajan Somasundaram
Jan 15, 2013·Journal of the American Geriatrics Society·Jesse M PinesKatalin E Roth
Jul 1, 2016·Medizinische Klinik, Intensivmedizin und Notfallmedizin·A C HörsterR Lefering
Jun 15, 2019·Medizinische Klinik, Intensivmedizin und Notfallmedizin·M MöckelA Slagman

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Citations

Sep 17, 2021·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Insa SeegerFalk Hoffmann

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